臺大醫院-精神醫學部;Shyu, Yea-Ing L.Yea-Ing L.ShyuWEN-CHE TSAITsai, Wen-CheWen-CheTsaiChen, Min-ChiMin-ChiChenLiang, JerseyJerseyLiangCheng, Huey-ShinnHuey-ShinnChengWu, Chi-ChuanChi-ChuanWuSu, Juin-YihJuin-YihSuChou, Shih-WeiShih-WeiChou2018-09-102018-09-102012http://www.scopus.com/inward/record.url?eid=2-s2.0-84859906370&partnerID=MN8TOARShttp://scholars.lib.ntu.edu.tw/handle/123456789/368263Objective This article aims to evaluate the long-term effects of an interdisciplinary intervention program on cognitively impaired older persons after hip fracture in Taiwan. Methods Of 160 subjects randomly assigned to control (n = 81) and intervention (n = 79) groups, 24 (29.6%) and 27 (34.2%) were cognitively impaired in the control and intervention groups, respectively, and outcomes were followed for 2 years after discharge. Results Among cognitively impaired subjects, more in the intervention group recovered their previous walking ability (odds ratio [OR] = 3.49; confidence interval [CI] = 1.64 to 7.42), activities of daily life performance (β = 18.59; p = 0.0002), and more were readmitted to the hospital (OR = 4.44, CI = 1.53 to 12.89) than those in the control group during the first 2 years following discharge. Among subjects without cognitive impairment, more in the intervention group recovered their previous walking ability (OR = 2.6; CI = 1.33 to 5.07), had fewer falls (OR = 0.47; CI = 0.25 to 0.86), and made fewer emergency room visits (OR = 0.33; CI = 0.11 to 0.97) during the first 2 years following discharge than those in the control group. Conclusions Cognitively impaired individuals benefited from our interdisciplinary intervention by improving their walking ability and physical function during the first 2 years following discharge. Specific strategies on fall prevention following hip fracture need to be further developed for cognitively impaired individuals. Copyright ? 2011 John Wiley & Sons, Ltd.98 bytestext/htmlcognitive impairment; hip fracture; interdisciplinary intervention; intervention effects; randomized clinical trial[SDGs]SDG3aged; article; cognitive defect; controlled study; convalescence; emergency care; female; health program; hip fracture; hospital readmission; human; interdisciplinary communication; major clinical study; male; senescence; Taiwan; walking; Accidental Falls; Activities of Daily Living; Aged; Aged, 80 and over; Cognition Disorders; Emergency Service, Hospital; Female; Follow-Up Studies; Hip Fractures; Humans; Intervention Studies; Male; Middle Aged; Patient Care Team; Taiwan; Walkingjournal article10.1002/gps.2750